At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is which of the following?
1. Excessive
2. Within normal limits
3. Less than expected
4. Unusual
2
Explanation: 2. This newborn's weight loss is within normal limits. A weight loss of up to 10% for term newborns is considered within normal limits during the first week of life.
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Following morning hygiene of an elderly client, the nurse is unable to replace the retracted foreskin of the penis. Which is the most likely outcome?
A) Erection of the penis B) Unclean glans C) Painful swelling D) Nausea and vomiting
A client has hypokalemia. Which question by the nurse obtains the most information on a possible cause?
a. "Do you use sugar substitutes?" b. "Do you use diuretics or laxatives?" c. "Do you have any kidney disease?" d. "Have your bowel habits changed recent-ly?"
The nurse is counseling a patient who has atopic dermatitis (eczema) and has developed a secondary infection. What should the nurse emphasize so that the patient can prevent this type of infections in the future?
1. methods to prevent itching 2. continuous antibiotic treatment 3. frequent bathing 4. allergy testing
A 27-year-old male is admitted to a neurologic unit with a complete C-5 spinal cord transection. On initial assessment, he is bradycardic, hypotensive, and hyperventilating. He appears to be go-ing into shock
The most likely mechanism of his shock is: a. hypovolemia caused by blood loss. b. hypovolemia caused by evaporative fluid losses. c. vasodilation caused by gram-negative bacterial infection. d. vasodilation caused by a decrease in sym-pathetic stimulation.